| NPI | 1871886531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61202686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278095) |
| 208000000X Pediatrics (Licence: NY 278095) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2023-03-02 |